Johnson, Matthew David

Johnson, Matthew David is an sole proprietor health care provider with primary practice located at 4400 Vestal Parkway East , Binghamton NY 13902-6000. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Johnson, Matthew David can be contacted via phone (607) 777-2103.

Contact Information

Primary practice address
4400 Vestal Parkway East Binghamton NY 13902-6000
Phone: (607) 777-2103
Fax: (607) 777-4733
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 014850 New York

Profile Details

NPI number 1649345208
LBN Legal business name Johnson, Matthew David
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2006
Last updated Feb 12th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649345208 NPPES
New York Other 000135453 BLUE CROSS BLUE SHIELD OF
New York Other 418400 BLUE CROSS BLUE SHIELD OF

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